Percentage of Unintentional Weight Loss (I.e. Malnutrition) Reported by the Client
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
The percentage of clients with an unintentional weight loss of more than 3 kilograms in the last month or more than 6 kilograms over the past 6 months, which is not in line with the agreed treatment policy.
Numerator
The number of clients who, on the day/in the week of measuring, had an unintentional weight loss of more than 3 kilograms over the previous month or more than 6 kilograms over the previous 6 months.
Denominator
The number of clients with whom measurements have been carried out on the day/in the week of measuring.
Exclusions
Clients who receive terminal care or are suffering from cancer measured with • Clients whose unintentional weight loss has already been established by weighing (indicator 4.1a) • Clients who, on the day / in the week of measuring, could not or would not be asked about this • Clients with whom has been agreed in the care (treatment) / life plan that systematic examination concerning weight loss for the benefit of the Quality Framework will not be carried out.
Use of Risk Adjustment
Risk Adjustments
Case mix for relevant client characteristics (like care intensity).
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Measured by the organisation itself every year with established registration questions.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Every organisational Unit provides a publication of its performance for the indicators for Responsible care via the Annual Document Social Responsibility (CIBG) and via the Quality Card at www.kiesbeter.nl (RIVM). Performance is also reported at an aggregated, anonymous level in an annual, nation-wide report from the Steering Committee.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Winters-Van Der Meer S, Kool RB, Klazinga NS, Huijsman R. Are the Dutch long-term care organizations getting better? A trend study of quality indicators between 2007 and 2009 and the patterns of regional influences on performance. Int J Qual Health Care. 2013 Oct;25(5):505-14. doi: 10.1093/intqhc/mzt061. Epub 2013 Aug 20. PMID: 23962991.
Link to Measurement Tools
CQ-index Long-term Care